Maryland Medicare Supplement Plans: What You Need to Know

Maryland offers Medicare beneficiaries access to some of the nation's finest healthcare institutions, including Johns Hopkins Hospital in Baltimore, the National Institutes of Health in Bethesda, and the University of Maryland Medical System. Whether you live in the bustling DC suburbs of Silver Spring and Bethesda, historic Baltimore, the college town of Frederick, or the quieter Eastern Shore, understanding your Medicare Supplement options is essential.

Like all states, Medigap plans in Maryland are standardized by letter (A, B, C, D, F, G, K, L, M, N). This means a Plan G from one company covers exactly the same benefits as a Plan G from another company. The only differences are the premium you pay and the company's customer service.

Maryland's Medigap Open Enrollment Period

In Maryland, your Medigap Open Enrollment Period begins on the first day of the month you turn 65 and are enrolled in Medicare Part B. This 6-month window is critical because:

  • Insurance companies cannot deny you coverage for any reason
  • They cannot charge you more due to health conditions
  • You have guaranteed issue rights to any Medigap plan sold in Maryland

Maryland Consumer Protections

Maryland law provides strong consumer protections for Medigap policyholders. When purchasing a new Medigap policy, you have a 30-day "free look" period during which you can cancel the policy for a full refund if you decide it's not right for you. Maryland also requires insurers to provide clear disclosure of premium rating methods.

Most Popular Medigap Plans in Maryland

While 10 standardized Medigap plans are available in Maryland, the most popular choices are:

Plan Coverage Level Best For MD Monthly Premium*
Plan G Comprehensive Most new enrollees (best value) $140 - $300
Plan N High with copays Those wanting lower premiums $110 - $240
Plan F Most comprehensive Those eligible before 2020 $170 - $340

*Premium ranges are estimates and vary by age, location within Maryland, gender, and tobacco use. Contact us for personalized quotes.

Plan G vs Plan N in Maryland

For most Maryland residents new to Medicare, the choice comes down to Plan G or Plan N:

  • Plan G covers everything except the Part B deductible ($240 in 2024). No copays, no surprises. Ideal if you want predictable costs and visit doctors frequently.
  • Plan N has lower premiums but requires up to $20 copays for office visits and up to $50 for ER visits (waived if admitted). Good choice if you're healthy and want to save on monthly costs.

Maryland Medicare Supplement vs Medicare Advantage

Maryland also has a robust Medicare Advantage market, but these are very different products. Here's how they compare:

Feature Medigap (Supplement) Medicare Advantage
Monthly Premium $110 - $340+ $0 - $50 (some higher)
Out-of-Pocket Maximum Very low (predictable) Up to $8,850/year
Doctor Network Any doctor accepting Medicare Network restrictions
Referrals Needed No Often yes (HMO plans)
Prescription Drug Coverage Separate Part D plan needed Usually included
Extra Benefits None May include dental, vision, gym

Read our complete Medigap vs Medicare Advantage guide to understand which option might be better for your situation.

Maryland-Specific Medicare Considerations

DC Metro Area and Federal Employees

Many Maryland residents in the DC metro area (Silver Spring, Bethesda, Rockville, Gaithersburg) work or have worked for the federal government. If you're a federal retiree, you may have FEHB (Federal Employees Health Benefits) coverage that coordinates with Medicare. Understanding how Medigap interacts with your existing benefits is crucial—and something a fee-only advisor can help you navigate without any conflict of interest.

World-Class Healthcare Access

Maryland is home to some of the nation's premier medical institutions, including Johns Hopkins Hospital, the NIH Clinical Center, MedStar Health, and the University of Maryland Medical System. With Medigap, you can see any doctor or specialist at these institutions who accepts Medicare—no referrals needed and no network restrictions. This is particularly valuable if you have complex health conditions requiring specialized care.

Diverse Geography and Healthcare Access

Maryland's geography ranges from the urban Baltimore-Washington corridor to the rural Eastern Shore and Western Maryland mountains. Healthcare access varies significantly across these regions. Medigap's nationwide coverage means you can see any Medicare-accepting provider, whether you're in downtown Baltimore or Cumberland—and if you travel or have homes in multiple locations, your coverage travels with you.

Military and Veterans Community

With proximity to military installations including Fort Meade, Aberdeen Proving Ground, Andrews Air Force Base, and the Naval Academy in Annapolis, Maryland has a significant military and veteran population. If you're a veteran with TRICARE For Life or VA benefits, understanding how these coordinate with Medicare and Medigap can save you money while ensuring comprehensive coverage.

Maryland SHIP Program

Maryland offers a free counseling program called SHIP (State Health Insurance Assistance Program) through the Maryland Department of Aging. While SHIP counselors can provide general Medicare information, they cannot recommend specific plans or companies. That's where a fee-only Medicare advisor adds value: we can make specific recommendations based on your individual situation.

Frequently Asked Questions: Maryland Medicare

When is the best time to enroll in a Medigap plan in Maryland?

The best time is during your 6-month Medigap Open Enrollment Period, which starts the month you turn 65 and are enrolled in Part B. During this time, you have guaranteed issue rights and cannot be denied coverage or charged more due to health conditions.

Can I switch Medigap plans in Maryland after my open enrollment ends?

Yes, but you'll need to go through medical underwriting, which means the insurance company can deny you coverage or charge higher premiums based on your health. Some situations trigger "guaranteed issue" rights outside of open enrollment, such as losing employer coverage. Maryland follows standard federal Medigap rules and does not have a birthday rule or year-round guaranteed issue.

How much does Medigap cost in Maryland?

Medigap premiums in Maryland typically range from $110-$340+ per month depending on the plan letter, your age, location (DC suburbs tend to be more expensive than Western Maryland), gender, and tobacco use. Plan G generally offers the best value for comprehensive coverage.

Is Plan F still available in Maryland?

Plan F is only available to those who became eligible for Medicare before January 1, 2020. If you turned 65 before that date, you can still enroll in Plan F. However, Plan G offers nearly identical coverage (minus the Part B deductible) and often has lower premiums.

Do I need a separate Part D plan with Medigap in Maryland?

Yes. Medigap plans do not include prescription drug coverage. You'll need to enroll in a standalone Medicare Part D plan separately. We can help you compare Part D options based on your specific medications.